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Test Prep NCLEX-PN Exam
National Council Licensure Examination(NCLEX-PN) (Page 11 )

Updated On: 30-Jan-2026
Page 11 of 204
PDF with 1015 Questions

You are caring for a neonate who has a cleft palate.

You should inform the mother that surgical correction will be done when the infant is ______________.

  1. 8 to 12 months of age
  2. 20 to 24 months of age
  3. 16 to 20 months of age
  4. 12 to 16 months of age

Answer(s): A

Explanation:

Repairs of cleft palates are typically done before 12 months because this allows for palatal changes associated with normal growth to occur.
While repairs can still be performed after one year of age but this increases the likelihood of needing longer- termed treatments and increased risks for poor language development and facial appearance.



What percentage of term newborns has a congenital heart disease due to environmental risk factors such as maternal alcoholism or drug ingestion?

  1. 2% to 4%
  2. 10% to 20%
  3. 5% to 10%
  4. 7% to 9%

Answer(s): C

Explanation:

It is estimated that 5% to 10% of term newborns are born with a congenital heart disease due to environmental risk factors such as maternal alcoholism or drug ingestion. This rate is higher in infants born prematurely.
Other environmental risk factors include intrauterine rubella exposure, diabetes mellitus and advanced maternal age in addition to genetic factors.



Which nursing diagnosis is the most commonly used among patients who are affected with fibromyalgia?

  1. Decreased self-care in the activities of daily living related to fatigue.
  2. Impaired mental functioning related to electrolyte imbalances.
  3. Increased vigilance secondary to electrolyte imbalances.
  4. At risk for a swallowing disorder related to fibromyalgia.

Answer(s): A

Explanation:

The signs and symptoms of fibromyalgia include widespread aching, muscle stiffness, fatigue and sleep disorders. The degree of fatigue can be so severe that the patient is unable to even perform the activities of daily living.
Fibromyalgia, a chronic disorder associated with periods of exacerbation and remission is not associated with a swallowing disorder, hypervigilance, mental functioning alterations or electrolyte imbalances.



Alcohol, caffeine, or drugs are high risk factors that all fall under which broad classification of risk factors?

  1. Social demographic
  2. Environmental
  3. Biophysical
  4. Psychosocial

Answer(s): D

Explanation:

Psychosocial risk factors include life style choices like the use or abuse of alcohol, caffeine and illicit drugs in addition to smoking and psychological status.
Low income, age, and ethnicity are social demographic risk factors.
Second hand smoke and air pollution are environmental risk factors; and biophysical risk factors include genetic considerations, nutritional status and disorders such as diabetes.



Multifetal pregnancies with triplets occur at a rate of 1 in 8,100 births, but twins occur much more frequently with a rate of ______________.

  1. 1 in 85 births
  2. 1 in 5400 births
  3. 1 in 2700 births
  4. 1 in 540 births

Answer(s): A

Explanation:

Twins, whether monozygotic or dizygotic, occur at the rate of about 1 in every 85 births.
This rate has seen increases due to various reasons, such as the frequency of fertility treatments and women waiting until later in life to have children; older women, defined as over 35 years old, are more likely to carry multiples than younger women.



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